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Abstract
Syphilis is a sexually transmitted infection (STI) with a high prevalence in Brazil, showing a significant increase in recent years, especially among socially vulnerable groups. Itinerant workers, such as truck drivers and mobile professionals along the BR-101 highway, are at increased risk of exposure due to constant mobility, limited access to regular healthcare services, and unprotected sexual practices. In this context, the present study aims to report the extension-based experience of testing and educational health actions aimed at confronting syphilis in mobile settings, conducted in the municipality of Eunápolis, Bahia. The intervention took place from August to December 2024, in partnership with the Federal Highway Police (PRF) and the Specialized Care Service and Testing and Counseling Center (SAE/CTA), involving 32 participants, mostly men, of mixed race and in productive age. Rapid tests were performed exclusively by qualified SAE/CTA professionals as part of their institutional duties. The students involved in the extension project did not conduct any clinical procedures; their role was limited to supervised observation and analysis of anonymized data previously authorized by the partner technical team. This experience report complies fully with the ethical principles established by Resolution CNS No. 510/2016, as it did not involve direct intervention or identifiable data collection, and is therefore exempt from mandatory submission to a Research Ethics Committee. No participants tested positive for syphilis, although one reported having recently undergone treatment for the disease. Despite the absence of confirmed cases, the study revealed significant exposure to risk factors related to STI transmission, such as multiple sexual partners and lack of condom use. The findings also highlight the high acceptance of rapid testing, the low perception of risk among users, and the effectiveness of extension activities as strategies for promoting sexual health in contexts marked by mobility and social vulnerabilities.
References
AVELLEIRA, J. C. R.; BOTTINO, G. Sífils: diagnóstico, tratamento e controle. Anais Brasileiros de Dermatologia, Rio de Janeiro, v. 81, n. 2, p. 111–126, mar. 2006. Available at: https://www.scielo.br/j/abd/a/tSqK6nzB8v5zJjSQCfWSkPL?utm_source. Accessed on: 20 May. 2025.
CIDACS – Center for the Integration of Data and Knowledge for Health. Study reveals ethnic-racial inequalities in cases of maternal and congenital syphilis in Brazil. CIDACS/Fiocruz Bahia, 2023. Available at: https://cidacs.bahia.fiocruz.br/2023/10/20/estudo-revela-desigualdades-etnico-raciais-nos-casos-de-sifilis-materna-e-congenita-no-brasil/. Accessed on: June 20, 2025.
DE MORAIS, T. R. et al. Intersectionalities in health: predominance of gestational syphilis in black and brown women in Brazil. Revista de Psicologia, Salvador, v. 13, n. 45, p. 670–679, 2019. Available at: https://idonline.emnuvens.com.br/id/article/view/1772. Accessed on: June 20, 2025.
DUTRA, M. R. T.; CAMPOS, L. N.; GUIMARÃES, M. D. C. Sexually transmitted diseases in psychiatric patients in Brazil. Revista Brasileira de Infectologia, Salvador, v. 18, n. 1, p. 13–20, jan. 2014. Available at: https://www.scielo.br/j/bjid/a/mMjFBYdJYmfYGnVvKK6BhSx/?lang=en&utm_source. Accessed on: June 23, 2025.
FERREIRA, A. M. Strategic actions for the prevention and control of syphilis in pregnant women in Primary Health Care in the period from 2015 to 2019: a scoping review. 2023. Dissertation (Master’s Degree in Public Policy and Local Development) – School of Sciences of Santa Casa de Misericórdia de Vitória – EMESCAM, Vitória, 2023. Available at: https://emescam.br/wp-content/uploads/2024/03/DISSERTACAO-FINAL-ALINNE-MIRANDA-FERREIRA.pdf. Accessed on: June 20, 2025.
FONTE, V. R. F. et al. Coping with syphilis in homeless people: an experience report. Saúde em Debate, Rio de Janeiro, v. 49, n. 144, e9237, 2025. Available at: https://www.scielosp.org/article/sdeb/2025.v49n144/e9237/?utm_source. Accessed on: June 20, 2025.
IBGE – Brazilian Institute of Geography and Statistics. National Health Survey: 2019: perception of health status, lifestyles, chronic diseases and oral health. Rio de Janeiro: IBGE, 2020. Available at: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101748.pdf. Accessed on: June 20, 2025.
MACÊDO, V. C. et al. Risk factors for syphilis in women: a case-control study. Revista de Saúde Pública, São Paulo, v. 51, p. 78, 2017. Available at: https://doi.org/10.11606/S1518-8787.2017051007066. Accessed on: June 20, 2025.
MASSON, V. A.; MONTEIRO, M. I. Vulnerability to sexually transmitted diseases/AIDS and use of psychoactive drugs by truck drivers. Revista Brasileira de Enfermagem, Brasília, v. 63, n. 1, p. 79–83, jan. 2010. Available at: https://www.scielo.br/j/reben/a/DQFkGvSBrfDn7x4PPMgP9cs/?lang=pt&utm_source. Accessed on: June 13, 2025.
PAIXÃO, E. S. et al. Maternal and congenital syphilis attributable to ethnoracial inequalities: a national longitudinal study of linking records of 15 million births in Brazil. The Lancet Global Health, London, v. 11, n. 11, p. e1734–e1742, nov. 2023. Available at: https://www.sciencedirect.com/science/article/pii/S2214109X23004059. Accessed on: June 20, 2025.
RAMOS, A. N. Persistence of syphilis as a challenge for public health in Brazil: the way is to strengthen the SUS, in defense of democracy and life. Cadernos de Saúde Pública, Rio de Janeiro, v. 38, n. 5, PT069022, 2022. Available at: https://www.scielosp.org/article/csp/2022.v38n5/PT069022/?utm_source. Accessed on: June 20, 2025.
RBAC – Brazilian Journal of Clinical Analysis. Co-infection between HIV and syphilis: main clinical complications and interference in laboratory diagnosis. Brazilian Journal of Clinical Analysis, São Paulo, v. 53, n. 1, p. 15–20, 2021. Available at: https://www.rbac.org.br/wp-content/uploads/2021/08/RBAC-vol-53-1-2021_pdf-completo.pdf. Accessed on: June 20, 2025.
SILVA, B. G. da et al. HIV, syphilis, hepatitis B and C in key populations: results of a 10-year cross-sectional study, Southern Brazil. einstein (São Paulo), São Paulo, v. 20, eAO6934, 2022. Available at: https://www.scielo.br/j/eins/a/SKcbCTCvxFKFMRCqtX4DpTk/?utm_source. Accessed on: June 20, 2025.
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